CMS Price Transparency Data

Blood test, vitamin B12

Facility: St Lucie Medical Center

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82607
  • Insurance Median: $32
  • Cash Discount Price: $744
  • vs. Medicare Baseline: 2.12x Medicare
The contracted insurance negotiated median rate for a Blood test, vitamin B12 at St Lucie Medical Center is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $744. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 2.12x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$744

Average discount available for prompt cash payment at this facility.

Insurance Median
$32

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)
Cash / Self-Pay: $744 (4934%)
Insurance Median: $32 (212%)
Cash: $744 (4934% of Medicare)
Ins. Median: $32 (212% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 212% of the Medicare baseline (a markup of 112%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $15 99%
Careplus $15 99%
Devoted Health $15 99%
Hospice Of Treasure Coast $15 99%
Hospice Treasure Coast $15 99%
Humana $15 - $298 99%
Ndms Definitive Care $15 99%
Ultimate Health Plan $15 99%
United $15 - $335 99%
United Behavioral Health $15 99%
Veterans Evaluation Services $15 99%
Wellmed $15 99%
Aetna $16 - $223 106%
American Health Plan $16 106%
Cigna $16 106%
Florida Complete Care $16 106%
Prominence Healthfirst $16 106%
Sunshine State $16 - $17 106%
Centurion $17 113%
Amerihealth Caritas $18 119%
Longevity Health Plan $18 119%
Solis Health Plan $22 146%
Oscar $29 192%
Simply Healthcare $34 225%
Freedom Health $64 - $119 424%
Optimum $64 424%
Avmed $97 - $372 643%
Simply Healthcare Plans $97 643%
Corvel Corporation $140 928%
Molina $141 - $201 935%
Careworks (Rockport) $143 948%
Prime Health $143 948%
Health Sun Health Plan $158 1048%
Sunshine State Health Plan $190 1260%
United Ppo $327 2168%
Plotkin Health $372 2467%
Prime Health Sherriff $372 2467%
Multiplan $558 - $632 3700%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals